HomeMy WebLinkAbout541003 ECI SITE CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATEClient#: 41670
ECISI
ACORD. CERTIFICATE OF LIABILITY INSURANCE
D
7/01/voo/YrrY)
7/01I2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
NAME: CONTACT Sandy Schifferns
Flood & Peterson Ins., Inc.
PHONE g70 266-7107 rox 970 506-6845
A/c No Est): ac, No
P. O. Box 578
E-MAIL oo
ADDRESS: P sschifferns fld eterson.com
Greeley, CO 80632
INSURER(S)AFFORDING COVERAGE
NAICp
970 356-0123
INSURER A Bituminous Insurance
INSURED
INSURERS: National Union Fire Co of Pitts
ECI Site Construction Management, Inc.
PO Box 2135
INSURER C:
Loveland, CO 80539
INSURER D :
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF
ADOLSUSR
INSR
MD
POLICY NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
MM/OD/YYYY
LIMITS
A
GENERALLIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 51OCCUR
X PD Ded:2,000
CLP3594135
7/01/2014
07/01/2011
EACH OCCURRENCE
$1 000000
SREMISES EaEo Enenra
$3OO OOD
MED EXP (Any one person)
$1 O 000
PERSONAL B ADV INJURY
$1000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PR0. LOC
JECTA
PRODUCTS - COMP/OPAGG
s2,000,000
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
rive Oth Car
CAP3606617
7/01/2014
07/01/201
COMBINED SINGLE LIMIT
Eearcident
1,000,000
BODILY INJURY person)
$
IX
BODILY INJURY (Per actldent)
S
PROPERTY DAMAGE
Per accident
$
X
$
B
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
BE017545708
7/01/2014
07/0112015
EACH OCCURRENCE
s5,000,000
AGGREGATE
s5,000,000
DED I X RETENTION$O
$
A
WORKERS COMPENSATION
AND EMPLOYERS' UABIUTY
ANY PROPRIETORIPARTNER/EXECUTIVE Y/M
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory In NMI
If yes, desalbe under
DESCRIPTION OF OPERATIONS b Idw
N/A
WC3589584
7/01/2014
'
07/01/201
X we sTAru- OTH-
E.L. EACH ACCIDENT
E1 DDD 66D
E.L. DISEASE - EA EMPLOYEE
$1 00O 000
E.L. DISEASE -POLICY LIMIT
1 $1 00O 000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Re: Contractor License
Certificate holder is named as additional insured.
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522-0580
AUTHORIZED REPRESENTATIVE
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S907707/M907655 leum